Physician
Seven Star Hospital Associates INC.
Seven Star Hospital Associates INC. was paid $13.25M by Medicaid between Sep 2021 and Dec 2024, across 50 billing codes. Its largest line is 99284, emergency room visit (serious) — 45% of everything it billed.
33Billing provider infoSEVEN STAR HOSPITAL ASSOCIATES INC.
HEMET, CA 92543
HEMET, CA 92543
33aNPI1144823246assigned 11/19/2020
33bProvider typeEmergency Medicine Physician
28Total paid$13.25M
24GClaims244,429
24DCodes billed50
24AFirst – last monthSep 2021 – Dec 2024
Compared with peers
Next to other Emergency Medicine Physician providers in California
Rank by total paid#35 of 988
Median peer was paid$32K
This provider vs. median418×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2021 | 21,769 | $1.03M | |
| 2022 | 76,982 | $3.86M | |
| 2023 | 81,729 | $4.50M | |
| 2024incomplete | 63,949 | $3.85M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 45% | 96,183 | 94,908 | $5.94M |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 30% | 44,866 | 44,336 | $4.03M |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 9.0% | 10,981 | 10,837 | $1.19M |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 8.1% | 26,290 | 25,988 | $1.08M |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 2.3% | 25,527 | 24,675 | $300K |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | 1.0% | 2,300 | 2,267 | $134K |
| 71045 | Radiologic examination, chest; single view | <1% | 19,037 | 17,356 | $112K |
| 70450 | Computed tomography, head or brain; without contrast material | <1% | 4,150 | 4,047 | $105K |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | <1% | 1,506 | 1,476 | $98K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 2,627 | 1,073 | $82K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 553 | 547 | $35K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 786 | 778 | $24K |
38 more codes
| 93042 | <1% | 3,016 | $24K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 2,146 | $17K |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 854 | $14K |
| 72125 | Computed tomography, cervical spine; without contrast material | <1% | 421 | $10K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 339 | $8K |
| 99406 | <1% | 761 | $7K | |
| 93976 | <1% | 171 | $7K | |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 183 | $6K |
| 71260 | Computed tomography, thorax, diagnostic; with contrast material | <1% | 117 | $4K |
| 71275 | Computed tomographic angiography, chest, with contrast material | <1% | 39 | $2K |
| 93970 | <1% | 71 | $2K | |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 79 | $2K |
| 72131 | <1% | 53 | $1K | |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 71 | $1K |
| 93971 | <1% | 100 | $1K | |
| 73630 | <1% | 185 | $1K | |
| 74018 | <1% | 165 | $1K | |
| 73130 | <1% | 141 | $847.56 | |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 33 | $813.15 |
| 73610 | <1% | 134 | $797.12 | |
| 76830 | Ultrasound, transvaginal | <1% | 44 | $741.69 |
| 99292 | <1% | 14 | $712.48 | |
| 71250 | <1% | 39 | $693.27 | |
| 73564 | <1% | 84 | $522.44 | |
| 73030 | <1% | 95 | $486.44 | |
| 76801 | <1% | 16 | $484.32 | |
| 76770 | <1% | 42 | $471.13 | |
| 70486 | <1% | 12 | $399.94 | |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | <1% | 26 | $313.68 |
| 74022 | <1% | 27 | $278.00 | |
| 73090 | <1% | 29 | $166.24 | |
| 73600 | <1% | 27 | $97.11 | |
| 73110 | <1% | 17 | $89.67 | |
| 73562 | <1% | 18 | $86.85 | |
| 73560 | <1% | 15 | $72.40 | |
| 73590 | <1% | 13 | $43.50 | |
| 73140 | <1% | 14 | $42.15 | |
| G9637 | Final reports with documentation of one or more dose reduction techniques (e.g., automated exposure control, adjustment of the ma and/or kv according to patient size, use of iterative reconstruction technique) | 0% | 12 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialHOLLAND, RACHAEL (SENIOR FINANCIAL ANALYST)
| Provider | Location | Paid |
|---|---|---|
| Seven Star Hospital Associates INC. | Hemet, CA | $378K |
| Seven Star Hospital Associates INC. | Hemet, CA | $314K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.